Topics

Music Based Caregiving in Patients With Pain and Dementia

2020-01-22 12:13:00 | BioPortfolio

Summary

The main objective of this study is to evaluate the pain-relieving effect of a well-characterized non-pharmacological treatment program, music-based caregiving (MBC), to patients in nursing homes with dementia and pain. Patients with dementia disease will be recruited from nursing homes in Trondheim and Oslo, and each ward at the nursing homes will be cluster randomized into intervention - or control wards. Then the health care personnel in the intervention wards will receive education in MBC and perform the intervention during eight weeks. The hypothesis is that this non-pharmacological intervention will reduce pain intensity and improve general activity, as well as reduce other symptoms in nursing home patients with dementia and pain compared to baseline.

Description

This is a cluster-randomized controlled trial including patients with dementia and pain living at different wards at eight nursing homes.

1. About 12 nursing homes are selected to participate in Trondheim and in Oslo.

2. All patients at the included nursing homes will be screened with respect to dementia and pain (see screening tools later). If patients have dementia and report pain (≥3 on MOBID 2) they will be included in the intervention part of the study (n=240).

3. The included patients (n=240) will then have a clinical examination of pain and pain management by expert physicians (see below). Evaluation of the use of analgesics and psychopharmacological medication will be performed. Inappropriate medication (both too much and too little) will be corrected in collaboration with the nursing home doctor.

4. In addition to the clinical examination of pain, the investigators will measure total daily physical activity, ADL, QOL, and neuropsychiatric symptoms on all included patients.

5. After the pre-test - a randomization of the wards into intervention wards or control wards will be performed.

6. About five staff members at each of the wards randomized to the intervention group will receive education in the MBC before intervention.

7. A post-test just after the intervention has ended, pain, total daily physical activity, ADL, QOL, and neuropsychiatric symptoms will be measured.

Study Design

Conditions

Pain

Intervention

Music based caregiving

Location

Oslo University Hospital
Oslo
Norway

Status

Recruiting

Source

Oslo University Hospital

Results (where available)

View Results

Links

Published on BioPortfolio: 2020-01-22T12:13:00-0500

Clinical Trials [1501 Associated Clinical Trials listed on BioPortfolio]

Central Neuromodulation of Pain Through Music in Healthy Subjects

The present research aims to study the neuromodulatory effect of music on the sensory component of pain. The activation of pain control systems, through music, would pave the way for rehab...

The Impact of Music Therapy on Nociceptive Processing

The purpose of this study is to understand the use of brief, personalized music interventions to decrease pain. Persisting and recurring pain is devastating to individuals and society. The...

Music-based Intervention for the Reduction of Pain

This study aims to compare the impact of listening to frequency-modulated music vs. non-modulated music (both researcher-selected), and to test whether there are differential effects on pa...

Effect of Music Therapy on Pain

The aim of study is to assess the effects of this new music therapy technique on pain treatment, anxiety and depression and on medicinal consumption.

The Impact of Music on Nociceptive Processing

The investigators are studying the ways that different music may change pain perception

PubMed Articles [17049 Associated PubMed Articles listed on BioPortfolio]

Effect of Music Therapy on Pain After Orthopedic Surgery -A Systematic review and Meta-Analysis.

Although music interventions on Post-operative pain (POP) have positive effects, limited research has focused on systematic reviews and meta-analyses of its efficacy for orthopedic patients. This syst...

The effect of music on pain in the adult intensive care unit: A systematic review of randomized controlled trials.

Multimodal analgesic approaches are recommended for ICU pain management. Although music is known to reduce pain in acute and chronic care settings, less is known about its effectiveness in the adult I...

Transitions to family caregiving: enrolling incident caregivers and matched non-caregiving controls from a population-based study.

Providing care to an older adult with a disability has been associated with increased risk to the caregiver's health, but most previous studies of caregiving and health compare persons who are already...

The Effects of Listening to Music on Anxiety, Pain, and Satisfaction during Urodynamic Study: A Randomized Controlled Trial.

To assess the influence of music therapy on perceived anxiety and pain during outpatient urodynamic study (UDS) in a prospective, randomized fashion.

Effect of music in reducing patient anxiety during colposcopy: A systematic review and meta-analysis of randomized controlled trials.

Music therapy has been used greatly in various medical procedures to reduce associated anxiety and pain.

Medical and Biotech [MESH] Definitions

The use of music as an adjunctive therapy in the treatment of neurological, mental, or behavioral disorders.

Method of pain control in which auditory stimulation including music, white noise, and environmental sounds are used.

Facilities providing diagnostic, therapeutic, and palliative services for patients with severe chronic pain. These may be free-standing clinics or hospital-based and serve ambulatory or inpatient populations. The approach is usually multidisciplinary. These clinics are often referred to as "acute pain services". (From Br Med Bull 1991 Jul;47(3):762-85)

A type of pain that is perceived in an area away from the site where the pain arises, such as facial pain caused by lesion of the VAGUS NERVE, or throat problem generating referred pain in the ear.

Pain in the facial region including orofacial pain and craniofacial pain. Associated conditions include local inflammatory and neoplastic disorders and neuralgic syndromes involving the trigeminal, facial, and glossopharyngeal nerves. Conditions which feature recurrent or persistent facial pain as the primary manifestation of disease are referred to as FACIAL PAIN SYNDROMES.

More From BioPortfolio on "Music Based Caregiving in Patients With Pain and Dementia"

Quick Search

Relevant Topics

Anesthesiology
An anesthesiologist (US English) or anaesthetist (British English) is a physician trained in anesthesia and perioperative medicine. Anesthesiologists are physicians who provide medical care to patients in a wide variety of (usually acute) situations. ...

Dementia
Dementia describes a range of symptoms of cognitive decline. For example memory loss, problems with reasoning and communication skills, and a reduction in a person's abilities and skills in carrying out daily activities. There are about 820,000 peo...


Searches Linking to this Trial